MEDICINE SHOPPE #0751 – Community/Retail Pharmacy, NPI 1568572774

MEDICINE SHOPPE #0751 is a healthcare provider. based in Harrisburg, Illinois. specializing in Community/Retail Pharmacy. The organization holds a License No. 203001133 (IL). The NPI Number for MEDICINE SHOPPE #0751 is 1568572774

Main info

Organization
Name
MEDICINE SHOPPE #0751
NPI
1568572774
Phone
(618) 252-5349
Address
304 S COMMERCIAL ST
Authorized Official
BRAD LEDBETTER VICE PRESIDENT
Enumeration Date
30 August 2006
Last Update Date
6 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness90
Years active:19State licenses:2Digital endpoints

Loading map...

Provider Addresses for MEDICINE SHOPPE #0751

  • 304 S COMMERCIAL ST

    HARRISBURG, IL 629462108

    Phone: (618) 252-5349

    Fax: (618) 252-1395

    Type: Mailing

  • 1315, West Main Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591139

    Phone: (618) 997-1393

    Fax: (618) 997-5448

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930098678OPharmacyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count56058$0
G0008Administration of influenza virus vaccine178178$0
90662Influenza vaccine split virus, preservative free167167$0
91322Sarscov2 vac 50 mcg/0.5ml im148148$0
90480Admn sarscov2 vacc 1 dose148148$0
View full utilization report →

Insurance plans in this area (ZIP 62946)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify MEDICINE SHOPPE #0751 for billing?
Administrative and clinical systems typically use NPI 1568572774 for MEDICINE SHOPPE #0751.
Is MEDICINE SHOPPE #0751 currently accepting referrals based on NPI status?
Registry metadata lists MEDICINE SHOPPE #0751 as active.
How should patients interpret MEDICINE SHOPPE #0751's specialty?
The extract shows Community/Retail Pharmacy for MEDICINE SHOPPE #0751. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEDICINE SHOPPE #0751?
MEDICINE SHOPPE #0751 is associated with Harrisburg, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

KROGER PHARMACY

Community/Retail Pharmacy
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1235163049

WALMART INC.

Community/Retail Pharmacy
Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States
NPI: 1487672994

MEDICINE SHOPPE #503

Community/Retail Pharmacy
304, South Commercial Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States
NPI: 1528178720

Medicine Shoppe #1938

Community/Retail Pharmacy
304 S COMMERCIAL ST
NPI: 1568574911
CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States
NPI: 1023112968

MEDICAP PHARMACY

Community/Retail Pharmacy
501, East Sloan Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States
NPI: 1699847483
South Commercial Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States
NPI: 1598948622

Medicine Shoppe

Community/Retail Pharmacy
304, South Commercial Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States
NPI: 1194237735